558-28496-71108
4 vaccinations
3 coded responses
14 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 954 / CA
- Registered
- 2022-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-02-19
Dose 2 — Moderna
-
2021-09-03
Dose 3 — ModernaCo-administered: Flu
-
2022-02-16
Dose 4 — Moderna
-
2022-02-17
Registered in v-safe
-
2022-02-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-02-18
Survey response — days 1–6 daily, dose 4MedDRA: Aortic stenosis, Diabetes mellitus, Ejection fraction decreased, Multiple sclerosis — Feeling: GoodFree text: Diabetes controlled by diet and exercise (a1c = 5.5), mild aortic stenosis with Ejection velocity of 2.0 M/SMedDRA releases: 2024-11 · check-in free text available
- 2022-02-19
- 2022-02-20
- 2022-02-21
- 2022-02-23
- 2022-03-02
- 2022-03-09
- 2022-03-16
-
2022-03-24
Survey response — day 35, dose 4MedDRA: Cough, Myalgia, Nasopharyngitis, SARS-CoV-2 test negative, Sneezing, Upper respiratory tract infection — Feeling: FairFree text: I have a cold (uri). Home Covid test negative. Sneezing, coughing, myalgias. No fever or shortness of breath. Actually I'm feeling better today than yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-31
Survey response — day 42, dose 4MedDRA: Cough, Laryngitis, Pre-existing disease, Respiratory symptom, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: FairFree text: Allergies (seasonal) and/or gradually resolving URI symptoms. Covid tests negative x2, normal (99%) O2 sats, no fever. Nasal drainage, dry cough, sneezing, laryngitis all gradually getting better. Scams x 8-10 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-08-17
- 2023-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | No |
| 2 | 2021-02-19 | Moderna | No |
| 3 | 2021-09-03 | Moderna | Flu |
| 4 | 2022-02-16 | Moderna | No |
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Diabetes controlled by diet and exercise (a1c = 5.5), mild aortic stenosis with Ejection velocity of 2.0 M/S
Release 11 — day 35, dose 4
Symptoms: I have a cold (uri). Home Covid test negative. Sneezing, coughing, myalgias. No fever or shortness of breath. Actually I'm feeling better today than yesterday.
Release 11 — day 42, dose 4
Symptoms: Allergies (seasonal) and/or gradually resolving URI symptoms. Covid tests negative x2, normal (99%) O2 sats, no fever. Nasal drainage, dry cough, sneezing, laryngitis all gradually getting better. Scams x 8-10 days.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Aortic stenosis | · | · | ✓ |
| SRO | Diabetes mellitus | · | · | ✓ |
| SRO | Ejection fraction decreased | · | · | ✓ |
| SRO | Multiple sclerosis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release